American Drug Stores LLC
NPI #1114973880 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1114973880
- Entity Type
- Organization
- Organization Name
- American Drug Stores LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 25, 2006
- Last Updated
- Jun 18, 2018
Practice Location
- Address
- 655 MAIN ST NW
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914
- Phone
- (815) 929-0590
Authorized Official
- Name
- DEMOND HAWKINS
- Title
- THIRD PARTY MANAGER
- Phone
- (208) 395-3905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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